DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

DOUGLASS COMMUNITY SERVICES, INCORPORATED

002558647

(660) 395-1455

406 BLEES INDUSTRIAL DR
MACON
MO  63552-4451

DOUGLASS COMMUNITY SERVICES, INCORPORATED

711 GRAND AVE
HANNIBAL
MO  63401

KEUNE, KIMBERLY DENISE

maconccpcm@douglassonline.org

Incorporated

CHRISTINA BRUCE

6 WEEKS - 35 MONTHS

16

GROUP HOME AND CENTER

 
Inspection Information

07/18/2022

9:55 AM

10:43 AM

UNANNOUNCED

COMPLIANCE MONITORING

2427943902


DocumentDocument-Date
DIAGRAM/INDOOR 01/18/2016
SAMPLE WEEKLY MENU 01/08/2016
SAMPLE FORMS 01/08/2016
DISASTER AND EMERGENCY PREPAREDNESS PLAN 01/08/2016
ARTICLES OF INCORPORATION 09/15/2017
DAILY SCHEDULE 01/08/2016
DIAGRAM/OUTDOOR 07/11/2018
DIRECTOR'S QUALIFICATIONS 12/21/2018
JOB RESPONSIBILITIES 06/18/2018
SAFE SLEEP POLICY 05/06/2019
LINES OF ADMINISTRATIVE AUTHORITY 05/06/2019
LOCAL ZONING APPROVAL 10/28/2019
APPLICATION 10/15/2019
DISCIPLINE POLICIES 11/12/2019
POLICIES 11/12/2019
STAFF SHEET 10/28/2019
CHILD CARE PRACTICES 11/12/2019
SANITATION INSPECTION 10/29/2021
EQUIPMENT LIST 11/22/2021
CERTIFICATE OF GOOD STANDING 11/22/2021
ANNUAL DECLARATION 11/22/2021
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 11/22/2021
FIRE/SAFETY INSPECTION 12/02/2021




Inspection determined facility to be in compliance with licensing rules.
Compliance Licensing Rules
Open Violations: 1
NOTE
The licensee is responsible for compliance with all licensing rules, including but not limited to the rules listed on this compliance report form.
Attendance at Time of Inspection
Total Staff 7
Total Children 12
StaffChildClass AgeNote
5 12 MIXED All children were outside on the playground. Staff: Morgan Nute, Rachel Butner, Linda Newland, Kim Walker, Faith Whittle. Age range 10 months through 2 years. Five 2 year old children.
2 0 NO CHILDREN IN ATTENDANCE Staff: Kim Kuene (Director) and Nicki Kuiper (Cook) Not counted in Child/Staff ratio.